Neue Suche
Journalartikel - Wissenschaftlicher Artikel | | Peer reviewed Open Access

Consensus on Evidence Gaps and Unmet Needs in Childhood Myopia: Findings from a European Delphi Study with Eye Care Professionals and Payers

Autor*innen
Lagreze, Wolf ; Nucci, Paolo ; Versteegh, Matthijs ; Klaver, Caroline ; Barrio-Barrio, Jesús ; Dahlmann-Noor, Annegret ; Gomez de Liaño, Rosario ; Ghorbani-Mojarrad, Neema ; Kessel, Line ; Polling, Jan Roelof ; Sauer, Arnaud ; Schuster, Alexander K. ; Serafino, Massimiliano ; Villani, Edoardo ; Ziemssen, Focke ; Böhler, Yvonne-Beatrice ; Capri, Stefano ; Gianfrate, Fabrizio ; Valles Callol, Joan-Antoni ; Wong, Olivier ; Chen, Ting-Yen ; Lymperopoulou, Christina ; Palaka, Ioanna ; Punekar, Yogesh ; von Bredow, Dorothea ; Shi-van Wielink, Kun
Zeitschrift
BMJ open ophthalmology 
DOI
10.1136/bmjophth-2025-002569

Weitere Details

Sprache
englisch
Darstellungsform
Text
Band
11
Ausgabe
1
Schlüsselwörter
Child Health (Paediatrics) , Public Health , Vision

BACKGROUND/AIMS: Childhood myopia is a growing global concern, associated with significant burdens. This study aimed to identify evidence gaps and unmet needs in childhood myopia management through a European Delphi panel involving eye care professionals (ECPs) with expertise in childhood myopia management and payers (ie, individuals with experience in health technology assessment, healthcare funding, drug pricing and/or reimbursement decisions). METHODS: A modified Delphi method was employed, involving two rounds of online questionnaires followed by a final virtual workshop. The panel included 12 ECPs and 13 payers from seven European countries. Consensus was defined as ≥70% agreement among panellists. RESULTS: Consensus was achieved on all 37 statements across six categories: disease background, clinical burden, psychosocial/humanistic burden, economic burden, treatment options and unmet needs. Key findings included recognition of ethnicity and age as crucial factors in evaluating childhood myopia, as well as the minimal clinically important difference for progression reduction. The panel emphasised the need for long-term studies on the efficacy and safety of myopia treatments, especially their impact on reducing future complications. The impact of high myopia on quality of life and economic burden was also highlighted. Regarding unmet needs, despite some known factors, the exact mechanisms behind myopia development remain unclear. There is a need for comprehensive epidemiological data on European childhood myopia and regulatory-approved pharmacological treatments in Europe. CONCLUSIONS: Consensus was reached among European ECPs and payers on the evidence gaps and unmet needs in childhood myopia management. These findings can guide future research to establish the best strategies for childhood myopia management and mitigate the burden.

Zitierstile

Download
 RDF/XML-Format
 JSON-LD-Format
 Turtle-Format
 N3-Format